First name

Last name

Delivery Address

Address (continued)

Town/City

County

Postcode

Daytime telephone

Email address

We need to know where, on your property, your weathervane can be left if you are not able to sign for it. Please note, "leave with neighbour" is not acceptable to our carriers

Design

Black or coloured?

Size

Finish

Fixing

Heavyweight scrolls

Gold leaf on NSEW

European letters

Old English NSEW

Cardholder's name

Card number

Security code

Expiry date

Issue number (if applicable)

Or start date

Cardholder address if different from delivery address

Use the comments box to give any additional info we may need; e.g non-standard ridge size , opening hours for delivery etc.

I have read and agree the terms at www.weathervanes.co.uk/placeanorder.html